Individual
CHRISTOPHER E ROMINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
5200 HARRY HINES BLVD, DALLAS, TX 75235-7709
(214) 590-4656
Mailing address
PO BOX 845347, DALLAS, TX 75284-7208
(214) 590-4656
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA09408
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008440000
—
MN
05
—
343271801
—
TX
01
—
75-2616977-008
TRICARE
TX
01
—
8809NM
BCBS
TX
01
—
P01424813
RAIL ROAD MEDICARE
TX
Enumeration date
12/06/2006
Last updated
04/01/2022
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